| NPI | 1891737748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00043545) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD178822) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2021-05-24 |